Monday, February 24, 2020

Nursing Process Theory Case Study Example | Topics and Well Written Essays - 1000 words

Nursing Process Theory - Case Study Example Hampe (1975) used her theory to talk about grieving families in a hospital setting. This paper will analyze the theory and try to understand what it means in the context of community health nursing. Orlando developed her theory in the 1950's. It was published the first time in her book, The Dynamic Nurse-Patient Relationship. Her theory was one of the first actually published on nursing process. She later continued her concepts in her second book, The Discipline and Teaching of the Nursing Process. Her original motivation for the work was to discover what the purpose of nursing was. To accomplish that she looked at nurse patient interactions both in the chart and during actual care episodes to determine what the outcomes of those actions were (Faust, 2002). These observations helped her formulate the basic thoughts behind her theory which are that the nurse has the role to discover and meet the patient's immediate needs. The most basic concept is "the nursing process describes the nurse's reactions to patient's behavior as generating a perception, thought and feeling in the nurse and then action by the nurse" (Sheldon & Ellington, 2008, pg1). This theory seems so well designed for nursing. It was when it was written and it seems it would be now. Many researchers as we have noted, have studied it and used it to build their own theory. However, there is nothing in the literature that indicates that the theory has ever been transformed into an actual nursing process. In 1961 Orlando wrote, "the purpose of nursing is to supply the help a patient requires in order for his needs to be met"(Orlando, 1961, pg 8). When you break it down as a nursing process, it becomes behavior of the patient, reaction of the nurse, and nursing action used to benefit the need of the patient. This writer believes that she is still right, that is what nursing is. At the same time, we must realize that Ida Jean Orlando came from a period in which education was only for those who had money and that included nursing education. This made their paradigms meet the needs of education more than the needs of the bedside nurse. She also used retroductive reasoning because she applied what she observed to what she already suspected (McEwen & Wills, 2007). Today it is still evident in some ways as we note that her theories are used more often by education than nursing itself. Her theory is noted among the Grand Theories considering her background and education as well as the time in which she worked. It also does not seem to meet all of the four nursing paradigms (Chinn & Kramer, 2008). She was quite explicit about individuals and nursing but she very briefly mentioned health as a state of well being and considered the environment only in the sense of now. Earlier it was noted that many nursing researchers of today study Orlando's nursing theory and it's applicability to specific types of nursing. The patient in the community may be in great distress and it may not be seen by anyone but the community health nurse. Orlando says that distress comes from unmet needs. Patient behavior needs to be assessed when it occurs. Any behavior may mean a plea for help. The relief of this stress depends on the caring nurse who is willing to participate in the solution of the need. The Community Health Nurse is confronted with this daily and responds

Friday, February 7, 2020

Comparative Negligence and COA Assignment Example | Topics and Well Written Essays - 500 words

Comparative Negligence and COA - Assignment Example The Management of European health SPA must be fully informed that they have a duty of care which provides that adequate action must be taken to avoid harm to its members or other people within their property. Policy aspects must be balanced in establishing the extent of their duty of care to patients and other stakeholders. Core components of sustaining an action in negligence include: the prediction of injury to the petitioner in which case it should be clearly identifiable the defendant’s action or inaction projected a sufficient level of certainty that the petitioner would suffer harm. Secondly, there should be a proximate cause between the the defendant’s actions or inaction and the injury or damage suffered by the plaintiff. In this case Rhoda has a right to claim damages given the fact that she is a member of the European Health SPA and the organization is to be morally blamed for not foreseeing and preventing the harm on her. The European Health SPA has a great burden and consequences for their actions of imposing duty and liability to the members as in Valdez v. J. D. Deffenbaugh Co., 51 Cal. App. 3d 494, 124 Cal. Rptr. 467 (1975). In this scenario the test of careless negligence is objective as opposed to being subjective. Rhoda who is the plaintiff must be fully aware that liability on the part of the defendant is incurred in tort when the party at the time of the act of negligence must have considerably foreseen the act that could lead into injury of another. According to Rhoda’s testimony it occurs that the floor had been slippery on all the 25 occasions she used the facilities, but the defendant had failed to exercise duty of care by warning its members or other users of the impending danger of a slippery floor. As a result of this negligence, Rhoda suffered physical injury, which entitles her to